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Maryland rates for HCPCS 90713

Poliovirus Vaccine Inactivated Subq/Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.64 / $89.72 / $165.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $47.64 / $47.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $45.50 / $45.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $36.65 / $48.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $53.53 / $53.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.98 / $43.98 / $43.98